تحصي القناة الصفراوية أثناء الحمل: نهج العلاج

References

• Choledocholithiasis may occur during pregnancy.
• ERCP is recommended to be performed starting in the second trimester because organogenesis is still present during the first trimester, hence risking abnormalities with radioactive exposure.
• The radiation may also be given at a relatively smaller dose at 10 mGy to minimize its effects on the fetus.
• Guidance using ultrasound and cholangioscopy are also used to minimize the effects of radiation.
• Recently, ERCP without fluoroscopy has also been attempted in order to reduce the radiation exposure, with similar technical success as conventional ERCP.